| NPI | 1134982598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: NY L-314234) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: NY 026839-01) |
| Enumeration Date | 2024-01-30 |
| Last Update Date | 2024-01-30 |